Organization
A-ONE DENTAL LLC
Active
Other names
CRESTWOOD FAMILY DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUNDEEP C JOHAL DDS (PRESIDENT)
(732) 713-4768
Entity
Organization
Contact information
Practice address
70 LACEY RD, WHITING, NJ 08759-2931
(732) 350-7999
(732) 350-7961
Mailing address
194 PLEASANT VALLEY RD, MORGANVILLE, NJ 07751-4438
(732) 887-8734
(732) 834-9674
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21313
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021547
—
NJ
Enumeration date
01/10/2011
Last updated
01/10/2011
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